Summer Recreation Registration 2018
Child's Name *
Your answer
Date Of Birth *
MM
/
DD
/
YYYY
Home Address *
Your answer
Home Phone Number *
Your answer
Child's T-Shirt Size *
Required
Parent/Guardian Name *
Your answer
Parent/Guardian Phone *
Your answer
Email Address *
Your answer
School District Child Resides In *
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Phone *
Your answer
Emergency Contact Relationship *
Your answer
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